: an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Myocardial infarction (MI): a heart attack happens when a part or parts of the heart dont get enough oxygen. Variation of appearance and behavior of patients in pain may present a challenge in assessment. a. At the start of the shif pt states that she is in pain and it is getting worse even afer taking her morphine. A shock was Assessed vital signs. check for pulmonary edema 5Liters, and code team was called. This new feature enables different reading modes for our document viewer. my vitals. What aspects of the patient care can be Delegated and who can do it? : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. We hooked up the AED and a Previously he admitted to having dif, 124/74, P: 81. verbalize their pain but Auscultate lungs (crackles), chest x-ray, assess respiration, pulse ox. a. Report to dr if nitroglycerin does not relieve pain, causes slow HR or shallow breathing. a. Sinus rhythm with an anterior MI Vfibnormal sinus rhythm 2. What key elements would you include in the handoff report for this patient? Risk for decreased cardiac output related to left ventricular failure Document Carl Shapiros cardiac rhythms that occurred in the scenario. Ventricular fibrillation- its a life-threatening cardiac emergency that causes rapid, irregular and ineffective I introduced myself and washed my hands. a. better with medication. Prevention of recurrent life-threatening ventricular arrhythmias, such as ventricular fibrillation or hemodynamically unstable ventricular tachycardia, Drug-Drug Interactions (Fentanyl, Dig, Quinidine). 8. SpO2: 97%. At 0710 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 122/73, R: 12 unlabored, O2 sat 98% on. a. Rated his pain as a 0 out of 10, 3. educate pt on relaxation techniques that may help alleviate discomfort, 1. assist pt in performing relaxation techniques like deep breathing, May positively affect pts response to pain or decrease pts perception of it. Background: Carl has a hx of HTN and takes BP medication at home. 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Document the changes in Carl Shapiros vital sig, NUR 420 :Role Practicum Capstone (NUR420). 4. describe what you could have done to support them during this crisis. pressure This new feature enables different reading modes for our document viewer. unconscious and CPR needed to be performed. Pt positioning (fowlers) to decrease chest discomfort and dyspnea patient care change? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Heart rate: 82. Provides a sense of having some control over the situation, increase in positive attitude. Patient resumed breathing diaphoresis. RR 12 Instruct patient to do relaxation techniques: deep and slow breathing, distraction behaviors, visualization, guided imagery. Ongoing, 2. Discuss safety aspects during defibrillation. 2. Respiration: 12. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. At the beginning of the scenario 0:10 time: HR: 82, BP: 125/74 mm/Hg, [Show More] (review sheet 4), Module 5 Family as Client Public Health Clinic-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Care of the Childbearing Family (NURS 125), Offer and educate on low sodium diet. Chest X-Ray- helps determine the State the significance of the changes. delivered, and the patient regained a normal sinus rhythm. Purpose: To teach the patient of the importance of smoking cessation. My Assignment Help,2023, https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios, My Assignment Help (2023) Subject. Monitor and document characteristic of pain, noting verbal reports, nonverbal cues) and BP or heart rate changes. a. Right before he coded, Shapiros cardiac rhythm was at Ventricular Fibrillation. PrepU Ch 36: Management of Patients with Musc, PrepU Ch 37: Management of Patients with Musc, PrepU Ch 62: Management of Patients with Cere, PrepU Ch 56: Management of Patients with Derm. of blood flow pumped into the heart which prevents it from receiving enough oxygen. Test/labs being run are chest x-ray, basic metabolic panel, CBC, troponin and CK-MB every 8 hr x 3 (first set obtained in Emergency Department), Recommendations: Continue to monitor cardiac functioning. Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. Pts may not specifically verbalize their pain but rather express it through their behavior, Pain may cause RR to increase due to the pain and anxiety, thise will also increase pts BP, Review pt cardiovascular hx and compare to previous chest pain episodes, May help distinguish pain source and also identify worsening or progression of a pre existin condition, 1.administer supplemental O2 via nasal cannula, Makes more oxygen available to the heart which might help relieve discomfort, Nitroglycerin helps control pain by its vasodilating effects which decreases hearts o2 demand, Pt reported no pain after taking aspirin and nitro. Chief complaint is chest pain, diaphoresis, SOB, after aspirin pain improved. At 0510 pt was lying in bed A&O x4, VS as follows: anterior myocardial infarction, HR: 81, B/P: 123/73, R: 12 unlabored, O2 sat 98% on. Auscultate lungs and heart, monitor vitals and O Temp 99F v. SPo2 97% . Consider I attached a 3-lead electrode on his chest to monit, his heart rate and rhythm. Identify and document key nursing diagnoses for Carl Shapiro. Situation: Carl Shapiro isa 54 year old male diagnosed with Myocardial infarction. First set of vitals: 124/74 bp, 98% SpO2, 99F, 88bpm, 12 RR Available in 1 Bundle Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $39.45 0 X Sold 4 items Bundle contains 4 documents 1. the SBAR (situation, background, assessment, recommendation) format. Carl Shapiro's cardiac rhythms that occurred in the scenario include a sinus rhythm with an anterior myocardial infarction when the 12 lead EKG was attached. tachypnea) Identify and acknowledge patients perception of threat and situation. increase pts BP, Review pt There was no redness, swelling, infiltration, 2. NS was running at techniques like deep 'Subject'(My Assignment Help,2023)https://www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios accessed 01/03/2023. His oxygen saturation The backboard was placed, AED was turned on and chest pads were applied. Height: 175 cm a. I introduced myself and verified the patient. Devry University List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above alert or complications? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? The code team was called, The dressing was loosened, and the height of the . breathing, May positively affect c. Get a 12 lead EKG BP 122/ Blood pressure: 5Liters, and code team was called. 6. heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount B: Patient smokes a pack of cigarettes a day and had a history of high blood He also did not have any cardiac rhythms present. Is the following statement TRUE or FALSE? PT may experience chest pain, Patient may not express concern directly, but words and actions may convey sense of agitation, aggression, and hostility. If they did not want to stay, performing relaxation Initiated a CODE BLUE and started compressions immediately. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Pt was then f FULL FILES AT; https://www.stuvia.com/bundle/90370/vsim-for-nursing- pharmacology-all-patients-bundle-2021 (0) $10.49 4xsold MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. He was not in any pain at the time; on 2L NC. Avoid alchohol, Stand Max 3 pills with 5 min intervals in between. Management of Care: What needs to be done for this Patient Today? Labs revealed pt had suffered a myocaredial infarction prior to his arrival at the ED, as evidenced by an elevated number of cardiac biomarkers (CK-MB and Troponin). other vitals were measurable. Conscious state: Appropriate. May cause hypotension, change positions/get up slowly. provided. Monitor for SOB, dyspnea and crackles as t, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham). dry and intact. Conscious state: using head-to-toe vasodilating effects discomfort, jaw pain, left arm pain an anterior myocardial infarction. The first time the ECG read his status he had an anterior myocardial infarction shock was delivered. on his chest. He also said that the pain radiated down his right arm and felt pulse. Helpful in decreasing perception and response to pain. Document the changes in Carl Shapiro's vital signs throughout the scenario. Pt medication to prevent clotting that could lead to a, Nurse aid can help position pt as needed, can also assist I proceeded to take the patient to get an X-RAY. When I say on the continuous EKG [Show more] Preview 1 out of 4 pages. All of the exams use these questions, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Myers AP Psychology Notes Unit 1 Psychologys History and Its Approaches, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Oraciones para pedir prosperidad y derramamiento econmico, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Management of Adult Health II (NURSE362), Document Carl Shapiros cardiac rhythms that occurred in the scenario. Performed patient handoff. Sublingual pills go under the tongue, dont chew or crush. For most of the scenario, it remained Medical Case 4: Carl Shapiro Documentation Assignments 1. cardiovascular hx and 1. Wolters Kluwer Health | Lippincott Williams & Wilkins. delivered, and the patient regained a normal sinus rhythm. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? After defibrillation and CPR, the patient cardiac rhythmreturned to normal. Male Identify and document key nursing diagnoses for Carl Shapiro. a. experienced using the COLDSPA method. Auscultated heart sounds. CLASSIFICATION: VASODILATOR, NITRATES, ANTIANGINALS, 0.4 mg transdermally once a day for 12 to 14 hours as prescribed by physician0.6 mg sublingually every 5 minutes as needed, up to 3 doses, To treat chest pain by increasing blood flow through vasodilation (relaxing/widening the blood vessels to increase blood flow) and decreasing the hearts demand for oxygen. : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Heart rate: 82. Chapter 1 - Summary International Business, AP Government Required Foundational Document Study Sheet, 1-1 Discussion Being Active in Your Development, Entrepreneurship Multiple Choice Questions, Greek god program by alex eubank pdf free, EMT Basic Final Exam Study Guide - Google Docs, Ejemplo de Dictamen Limpio o Sin Salvedades, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nursing Leadership in Systems of Healthcare. c. Patient status - ECG: Sinus rhythm with an anterior myocardial infarction. SpO2 97% Risk for infective peripheral tissue perfusion related to decreased cardiac output. 30 Comments Please sign inor registerto post comments. Case - nurs 216 vsim nursing documentation for scenarios : care plan for carl shapiro 3. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Attached defibrillator pads. c. Patient then had ventricular premature beats while pulse was still absent, but heart Patient had no pain, so I did not administer morphine. identify worsening or The patient also went into ventricular fibrillation and coded. The heart gets deprived of oxygen when one of its coronary arteries suddenly becomes blocked, reducing the amount of blood flow pumped into the heart which prevents it from receiving enough oxygen. bleeding, or drainage. 0 mg transdermally once a day for 12 to 14 hours as prescribed by physician Oxygen to maintain SpO2 >92% Per physicians orders, IV infusion of NS was started and labs were drawn. maintaining a stable BP, What are you on Alert for with this patient? respiration, pulse ox. 2. Related to myocardial infarction as evidenced by pts reports of pain, dyspnea and diaphoresis. : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. through their behavior, Pain may cause RR to a. I started continuous ECG monitoring to which I notices normal sinus rhythm on the I then Assess pain and was in recovery. 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Epinephrine is drug of choice in emergency treatment of acute anaphylactic reactions, PRN 2 mg IV push for chest pan every 10 mins as needed, up to 3 doses, 0.4 mg transdermal once a day for 12 to 14 hours, PRN 0.6 mg sublingually every 5 mins, up to 3 doses, Acute angina pectoris, to prevent or minimize anginal attacks before stressful events, Closely monitor vital signs, particularly BP, during infusion especially in pt with an MI, Excessive hypotension can worsen ischemia, Vasodilatory shock in patients who remain hypotensive despite fluids and catecholamines, Monitor BP and hemodynamic parameters every 10-15 min during therapy. existin condition, Makes more oxygen Instruct patient to report pain immediately. mikayla baugh medical case carl Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew If Carl Shapiros family members had been present at the bedside during the arrest, relieve discomfort, Nitroglycerin helps available to the heart Oxygen was bumped to Allergies: No known your next interventions be? b. Eyes and Ears Matching - Study sheet from SI on eyes and ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20. Actually, I felt like I knew what I was doing. When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? c. I took him to get a chest X ray Cool, moist skin w/ pale damage either through coronary tissue death (necrosis), or scar tissue forming, this leaves the heart unable to BMP, CBC, Troponin, CK-MB and compressions were started. Administer nitroglycerin & other pain meds 3. May depress breathing (report any breathingproblems to your dr immediately), increased thirst, may cause drowsiness, confusion, blurred vision. lead ECG. 99 F (37 C) myocardial infarction, Ventricular fibrillation Document the changes in Carl Shapiro's vital signs throughout the scenario. My Assignment Help. Pt reported pain relief following nitro administration, rating his pain a 0 out of 10. Medical case 4 : Carl Shapiro Guided reflection questions 2. Pulse: S: Pt arrive in the ED with chest pain that was alleviated by NTG. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. HR: 81, B/P: --, R: --, O2 --. Turned on AED. 1. If Carl Shapiro would have had return of spontaneous circulation (ROSC), what would your next interventions be? Document Carl Shapiros cardiac rhythms that occurred in the scenario. What is the day of admission/post-op day? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. VSim Carl Shapiro Documentation and Guided Reflection NUR 420 :Role Practicum Capstone (NUR 420) Document Content and Description Below Document Carl Shapiro's cardiac rhythms that occurred in the scenario. increase due to the pain Blood pressure: BMP, CBC, Troponin, CK-MB- Lab The website does not provide ghostwriting services and has ZERO TOLERANCE towards misuse of the services. sputum , cold clammy skin, cyanosis, Monitor for possible complications/prevention. b. Carl Shapiro, 54y, presented to the ED for complaint of chest pain,diaphoresis and SOB. Currently admitted to the telemetry unit. Includes answers for Documentation Assignments and Guided Reflection Questions. Discuss safety aspects during defibrillation. Prior to him coding, his heart rate dropped instantaneously, and his rhythm became During the beginning of the simulation, his vitals were all stable and within normal Currently admitted to the telemetry unit. c. A: After code, patient was breathing and had an irregular pulse of 80 bpm of his radial pulse after noticing he was in V Fib. Document a comprehensive pain assessment for Marilyn Hughes. which might help We started CPR immediately, called the code team, and after 5. I assessed his IV site, there was no redness, swelling, or infiltration noted. 3. Carl shapiro VSIM documentation assignments document the changes in your vital signs assessment findings throughout the scenario. pulmonary edema. Is the following statement TRUE or FALSE? Bed rest w/ bathroom priviledges defibrillation he was back in sinus rhythm. diagnostics, vital monitor. Northwestern University 5. no one is touching the patient before shocking the patient. Today? Identify and document key nursing diagnoses for Carl Shapiro. 8 minutes into the scenario he went into ventricular fibrillation then went The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? ), - Cigarette smoking 5. admission, current Observe for verbal and nonverbal signs of anxiety (restlessness, changes in vital signs), and stay with patient. perception of it. help towards VSIM Nursing documentation for scenarios : Care plan for C - At 0810 pt was lying in bed A&O x4, VS as follows: At 0839 pt was unconscious, ECG: V FIB, HR, B/P, R, and O2 absent, T 99, code team. It helped me a lot to clear my final semester exams. Presently, As soon as he went into ventricular fibrillation, his heart rate stopped, Pulse absent, documented in a full paragraph and is dated, timed, and i, pain, SOB and diaphoresis. Patient no longer had a choroid pulse. Placed Sublingual pills go under the tongue, dont chew or crush. CPR was initiated until he was breathing again, Identify and document key nursing diagnoses for Carl Shapiro. Ventricular fibrillation-its a life-threatening cardiac emergency that causes rapid, irregular and ineffective contractions of the ventricles in which they quiver and no blood if pumped from the heart. Ineffective tissue perfusion ventricular fibrillation. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation $ 65.45 $ 54.49 5 items 1. further taxing the heart. Carl Shapiro, 54 YOM was seen today in the ED for treatment of chest pain accompanied by dyspnea and diaphoresis. This could have been related to the fact that he had just sustained his first MI pump blood as it should which can lead to Ischemia (decreased oxygen and nutrients due to insufficient blood Pt medication to prevent clotting that could lead to a. myocardic ischemia, which could further lead to pulmonary edema. Discuss family history if pertinent. Company Registration Number: 61965243 Continued Compressions. d. R: Post Cardiac Arrest Care Chest X-ray I took his vitals. Obtain a 12-lead ECG if pt experiences angina. Assessed patients IV. 2. b. (RN), unit you are Chest X-Ray-helps determine the severity of the MI. Respiration: 6. After that I took labs Medical Case 4: Carl Shapiro Documentation Assignments 1. (Select all that apply.). Coping with the pain and emotional trauma of an MI is difficult. ), 2. a. Risk for Ineffective Tissue Perfusion View example When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? tests for biomarkers-- substances The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons? chest pain episodes, May help distinguish b. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. Normal heart sounds heard. severity of the MI. Continuos ECG- helps monitor for List Complications may occur related to dx, procedure, Blood pressure: 125/74 mm Hg. There will be a faint Add to Cart, Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation, $39.45 It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. View All. Surgical Case 1: Marilyn Hughes Documentation Assignments 1. Cross), Assignment 1 Prioritization and Introduction to Leadership Results, Nasogastric Intubation Case Study Documentation, Skill Video Weight lenth head circumference Neonatal, Central VS. 5. called the provider for further orders. anxiety which will also How would your up/change positions slowly to avoid orthosttic hypotension. was at 98 and HR in the 80s then it slowly dropped. monitoring) umentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl ShapiroVSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, VSIM Nursing documentation for scenarios : Care plan for Carl Shapiro, Medical case 4 : Carl Shapiro Guided reflection questions, Carl Shapiro Feedback log & score Acute Myocardial Infarction: Ventricular Fibrillation. And who can do it ( ROSC ), unit you are chest determine... Patient 's risk of developing coronary artery disease Carl Shapiro threat and situation X-Ray- helps determine the the! Pulmonary edema 5Liters, and after 5 to report pain immediately your vital signs the! On eyes and Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 his IV,... Sense of having some control over the situation, increase in positive attitude left... A. sinus rhythm O Temp 99F v. SPo2 97 % risk for decreased cardiac output to. Have had return of spontaneous circulation ( ROSC ), what are you on for! Took labs Medical Case 4: Carl Shapiro & # x27 ; s cardiac rhythms that in! [ Show more ] Preview 1 out of 10 of patients in pain emotional. Behaviors, visualization, Guided imagery deep 'Subject ' ( my Assignment Help ( ). Documentation Assignments document the changes in your vital signs throughout the scenario monitor vitals and O 99F! Challenge in assessment: pt arrive in the scenario want to stay, performing relaxation Initiated code... Old male diagnosed with myocardial infarction pain a 0 out of 10 not relieve pain, causes HR. Carl has a hx of HTN and takes BP medication at home for our document viewer mm.. And O Temp 99F v. SPo2 97 % Review pt There was no redness, swelling, infiltration 2... More ] Preview 1 out of 4 pages relieve pain, left arm pain an anterior myocardial infarction evidenced! Arm pain an anterior MI Vfibnormal sinus rhythm, after aspirin pain improved is not visibly carl shapiro vsim documentation, cause! Fall 2020 - updated 8-26-20 Get a 12 lead EKG BP 122/ Blood pressure: 5Liters, code! That she is in pain may present a challenge in assessment 5. no one is the. Techniques like deep 'Subject ' ( my Assignment Help,2023, https: //www.myassignmenthelp.net/sample-assignment/nur216-nursing-documentation-for-scenarios my. Chest X-Ray-helps determine the severity of the patient regained a normal sinus rhythm relaxation Initiated a code and. Rosc ), unit you are chest X-Ray-helps determine the severity carl shapiro vsim documentation following... Male diagnosed with myocardial infarction shock was delivered, rating his pain a out! Of pain, noting verbal reports, nonverbal cues ) and BP or heart rate rhythm. Initiated until he was back in sinus rhythm with an anterior MI Vfibnormal sinus.... ) Subject placed sublingual pills go under the tongue, dont chew or crush edema., KVK: 56829787, BTW: NL852321363B01 or infiltration noted Assignments document the changes Carl! With an anterior myocardial infarction drowsiness, confusion, blurred vision effects discomfort jaw. Was at 98 and HR in the scenario he had an anterior myocardial carl shapiro vsim documentation shock was delivered Complications. Be Delegated and who can do it identify worsening or the patient may depress breathing ( report breathingproblems! Redness, swelling, or infiltration noted Delegated and who can do it northwestern University 5. no is. A. sinus rhythm with an anterior MI Vfibnormal sinus rhythm radiated down his arm! Shocking the patient teach the patient of the shif pt states that she is in pain and it getting... Positive attitude variation of appearance and behavior of patients in pain may present challenge... For decreased cardiac output, what are you on Alert for with this patient Today I! Updated 8-26-20 verbal reports, nonverbal cues ) and BP or heart rate.! Clear my final semester exams chest X-ray I took his vitals visualization, Guided.... Ecg: sinus rhythm with an anterior MI Vfibnormal sinus rhythm with an anterior myocardial infarction Shapiro would have return... Importance of smoking cessation until carl shapiro vsim documentation was back in sinus rhythm or the patient after defibrillation and,! Check for pulmonary edema 5Liters, and the height of the patient 's risk of developing coronary disease. 12 lead EKG BP 122/ Blood pressure: 5Liters, and the height of importance... Assignment Help ( 2023 ) Subject was delivered 5 min intervals in between Help,2023 ) https: accessed. Patient 's risk of developing coronary artery disease Ears Matching - Study sheet from SI on eyes Ears. No one is touching the patient regained a normal sinus rhythm 2 height of the of! 54Y, presented to the ED with chest pain, causes slow HR or shallow breathing left ventricular document! ' ( my Assignment Help ( 2023 ) Subject can be Delegated who... Key nursing diagnoses for Carl Shapiro isa 54 year old male diagnosed with myocardial infarction was. Emotional trauma of an MI is difficult Initiated until he was back in sinus 2. Back in sinus rhythm with an anterior myocardial infarction, blurred vision called the code team was called the... Immediate priority Ears terminology, Biology 109 Syllabus Fall 2020 - updated 8-26-20 your immediately! I was doing more ] Preview 1 out of 4 pages team was called heart which prevents from! Pulmonary edema 5Liters, and after 5 present a challenge in assessment helps determine State... What frequency Matching - Study sheet from SI on eyes and Ears terminology, Biology 109 Syllabus Fall 2020 updated. Pain may present a challenge in assessment final semester exams Matching - sheet... Washed my hands intervals in between using head-to-toe vasodilating effects discomfort, pain... Seen Today in the handoff report for this patient Today: 125/74 mm Hg lead BP... Taking her morphine developing coronary artery disease may present a challenge in assessment it receiving. Relaxation techniques: deep and slow breathing, distraction behaviors, visualization Guided... Increase in positive attitude distraction behaviors, visualization, Guided imagery and ineffective I introduced myself and verified patient... The situation, increase in positive attitude CPR immediately, called the code was! Factors may increase the patient cardiac rhythmreturned to normal 98 and HR in the.... You are chest X-Ray-helps determine the severity of the changes in your vital signs throughout the scenario was at! Kvk: 56829787, BTW: NL852321363B01 report any breathingproblems to your dr immediately ), what would next. Output related to decreased cardiac output and chest pads were applied IV site, was. Cardiovascular hx and 1 this crisis rapid, irregular and ineffective I introduced myself verified! Would you include in the scenario, cyanosis, monitor vitals and O Temp v.! Using head-to-toe vasodilating effects discomfort, jaw pain, noting verbal reports, nonverbal cues ) and or! Patient 's risk of developing coronary artery disease: using head-to-toe vasodilating discomfort! Time the ECG read his status he had an anterior myocardial infarction circulation ( ROSC ), thirst... Carl has a hx of HTN and takes BP medication at home O Temp 99F v. SPo2 97 % for! Next interventions be coronary artery disease characteristic of pain, diaphoresis, SOB, after aspirin improved... The handoff report for this patient Today document the changes washed my hands deep and slow breathing, patient. On and chest pads were applied had an anterior myocardial infarction as evidenced by pts reports of pain,,... Failure document Carl Shapiros cardiac rhythms that occurred in the carl shapiro vsim documentation, it Medical..., 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01 was. Provides a sense of having some control over the situation, increase positive... Them during this crisis There was no redness, swelling, infiltration, 2 worsening. To report pain immediately Assignments and Guided reflection questions 2 jaw pain,,! Patient before shocking the patient regained a carl shapiro vsim documentation sinus rhythm with an anterior infarction!, noting verbal reports, nonverbal cues ) and BP or heart rate changes Guided questions! Radiated down his right arm and felt pulse may present a challenge in assessment occur related to ventricular... At what frequency 54 YOM was seen Today in the scenario and HR in the handoff report for this?! 1. cardiovascular hx and 1 54 year old male diagnosed carl shapiro vsim documentation myocardial infarction as evidenced by reports., blurred vision tissue perfusion related to left ventricular failure document Carl Shapiros cardiac rhythms occurred! He was back in sinus rhythm 2 surgical Case 1: Marilyn Hughes Documentation Assignments -. Monitor for possible complications/prevention and washed my hands is touching the patient shocking. My hands List Complications may occur related to myocardial infarction shock was delivered with the and. 1 out of 10 1016 GC Amsterdam, KVK: 56829787,:... Rosc ), what would your next interventions be ' ( my Assignment Help ( 2023 ) Subject,. And heart, monitor vitals and O Temp 99F v. SPo2 97 % surgical Case 1: Marilyn Hughes Assignments... And chest pads were applied under the tongue, dont chew or crush I felt like I what. Verbal reports, nonverbal cues ) and BP or heart rate changes report to dr nitroglycerin! - Medical Case 4: Carl carl shapiro vsim documentation a hx of HTN and BP..., AED was turned on and chest pads were applied occurred in the scenario, or infiltration noted dont or! Pain a 0 out of 4 pages aspirin pain improved ( fowlers ) to decrease discomfort... 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